Kmac, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

679129 Issued in TX

Legal business name

KMAC, INC

Doing business as

Guardian Healthcare

Practice address

4444 Corona Dr Ste 211
Corpus Christi, TX 78411-4321

Phone

(361) 758-9336

Fax

(361) 758-9356

NPI assigned

Oct 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trevor Shannon

Title

VP Revenue Cycle

Phone

(937) 469-4275

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Guardian Healthcare Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1043304850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "361-758-9336",
            "fax_number": "214-491-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CORONA DR STE 211",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114321",
            "telephone_number": "361-758-9336",
            "fax_number": "361-758-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMAC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "937-469-4275"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "679129",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007780",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511479-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151147901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albert C Kline, DPM
• Joann Victoria Kline, DPM
• Nicole Kline, MS
• Linda Kloss
• Diane Louise Klutz, RN PHD FNP-BC
• KMG Medical Group TX, P.a.
• Anna Brooke Knight, LMT, MMP
• Rose M Knippa, DC
• Crystal Susette Knoop, LPC
• Know Stigma Counseling Services, PLLC

• Home Health Agency in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.